Effect of hijama (cupping) and blood letting theraby in Management of non-discogenic low back pain

Background: Hinami (wet cupping) is not a conventional therapy for post-stroke complications, but it might have some additional benefits on early rehabilitation. Aim of the work: to test if wet cupping had an effect in management of early post-stroke complications. Methodology: One hundred twenty subjects presented with acute stroke, were asked to participate in the study. They divided into two equal groups: the first received conventional post-stroke care; and the second received conventional post-stroke care plus wet cupping. Then patients were assessed by the national institute of health stroke scale (NIHSS) index for neurologic deficit evaluation; the Fugl-Meyer assessment (FMA) scale for motor functions, the rate of recovery based on the bedside swallowing assessment (BSA), the mini-mental state examination (MMSE) and Montreal cognitive assessment (MoCA) for cognitive function, and adverse reaction of wet cupping were documented for safety evaluation. Results: There was statistically significant decrease in pain intensity in both wet and dry cupping. But the results were better with wet cupping technique. Conclusion: Significant use of cupping technique as a therapeutic model in treatment of discogenic low back pain